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Paranoid Personality Disorder (PPD)

DSM-IV-TR Criteria for Paranoid Personality Disorder (PPD)

Paranoid Personality Disorder (PPD) is listed in the DSM-IV-TR as a "Cluster A" (odd or eccentric) Personality Disorder.

Text in Bold Italics is quoted from the American Psychiatric Association’s Diagnostic & Statistical Manual (DSM-IV)

Paranoid Personality Disorder (PPD) is defined as:

a pervasive distrust and suspicion of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

  1. Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her.
  2. Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates.
  3. Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her.
  4. Reads benign remarks or events as threatening or demeaning.
  5. Persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights.
  6. Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.
  7. Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.

The traits, behaviors and characteristics

  • Do not occur exclusively during the course of a mood disorder accompanied by psychotic features nor other psychotic disorders.
  • Are not due to the direct physiological effects of a general medical condition.

A formal diagnosis of PPD requires a mental health professional to identify 4 out of the above 7 criteria as positive. Some people with PPD may exhibit all 7, most will exhibit only a few.

Nobody’s perfect. Even normal healthy people will experience or exhibit a few of the above criteria from time to time. This does not make a person PPD.

Understanding the clinical criteria for Paranoid Personality Disorder (PPD) is helpful but learning how to cope with having a loved-one who suffers from PPD is quite different and is not covered in any psychological manual.

One of the most effective ways we have found to deal with that is to get support from people who understand what it feels like to be in a relationship or be a family member of someone who suffers from a personality disorder and have learned how to cope. You can find people like that at our Support Forum.


For More Information & Support...

If you suspect you may have a family member or partner who suffers from a personality disorder, we encourage you to learn all you can and surround yourself with support as you learn how to cope.


Submit feedback on this page here.

 
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